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Reposted by Willis Kwandou

European Society of Cardiology @escardio.bsky.social · 29/01/2026

#ImageOfTheWeek by Willis Kwandou and Bambang Budiono from Primaya Heart and Vascular Center Hospital, Makassar, Indonesia. What diagnosis does this ECG pattern suggest? ow.ly/jQgk50Y4HvJ #cardioed

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Reposted by Willis Kwandou

European Society of Cardiology @escardio.bsky.social · 06/03/2025

#ImageofTheWeek by Willis Kwandou, Agnes Lucia Panda, & Gratiani Eben H. Reppi from the Department of Cardiology & Vascular Medicine at Sam Ratulangi University, R. D. Kandou General Hospital, Manado, Indonesia. What is the most probable diagnosis ow.ly/BQSf50VaQ5l

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Reposted by Willis Kwandou

Alexander Mladenow MD @alexmla.bsky.social · 26/01/2025

#echosky when performing intraoperative (post procedural) TEE for MV & TV surgery be aware of possible regional wall motion abnormalities due to coronary artery injury/distortion 👉 always look at TG mid SAX 👉 use the mnemonic code ALPIS To activate your 🧠 do the same for TTE

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Reposted by Willis Kwandou

Parham Eshtehardi MD @cardioobdoc.bsky.social · 17/01/2025

Role of multi-modality imaging for assessment of LA & LAA. Clinical consensus statement of #EACVI, #EHRA of #ESC #CardioSky #EchoSky #EchoFirst #YesCCT #WhyCMR academic.oup.com/ehjcimaging/... @escardio.bsky.social @sarahmoharem.bsky.social @victoriadelgadomd.bsky.social @gimelliale.bsky.social

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Willis Kwandou @williskwandou.bsky.social · 14/01/2025

Sorry for late reply, looks like that one was not cor triatriatum, it was a Big Giant Pulmonary Artery with Dissection Flap

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Willis Kwandou @williskwandou.bsky.social · 06/01/2025

Interesting ECG, it seems the P-P Interval Is Constant Other R-R Interval Seems Constant Beside R4-R5 IMO there is a change conduction into slow pathway, from the Red pathway P Arrow to Blue pathway P Arrow

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Willis Kwandou @williskwandou.bsky.social · 29/12/2024

😨, great case.. thanks for sharing 🙏

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Reposted by Willis Kwandou

Christos Chamos @hamos1977.bsky.social · 27/12/2024

Pretty impressive, no? #echosky #cardiosky

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Willis Kwandou @williskwandou.bsky.social · 28/12/2024

I agree looks like VSP, perhaps there is atrial spike within the R1 (Possibly Atrial Lead Did not Sensed the P Before R1 and Pace As the Moment of Native R wave and Trigger VSP) I think purple arrow is really correlated with pace spike.. is that spesial ECG feature for detecting pacemaker spike?

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Willis Kwandou @williskwandou.bsky.social · 24/12/2024

I vote for VT as well Presence of Structural Heart Disease, Atypical RBBB with R<S at V5 and V6, Same PVC Morphology in 2nd ECG Favors for VT The Location of VT IMO is Mid Inferolateral LV, maybe correlated with mid lateral scar at MRI

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Willis Kwandou @williskwandou.bsky.social · 20/12/2024

Another Echo View Suprasternal Right Aortic Arch

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Willis Kwandou @williskwandou.bsky.social · 20/12/2024

Here Is The CT Scan, Any Opinion About Diagnosis Terminology? And How Should We Manage? #Cardiosky #Echosky #Echofirst #YesCCT #CTSky

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Willis Kwandou @williskwandou.bsky.social · 19/12/2024

Wonder what echofirst community would think about this Echo in Adult with Congenital Heart Disease? #Echofirst #Cardiosky #Echosky

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Willis Kwandou @williskwandou.bsky.social · 11/12/2024

I think This Red P Wave Is Conducted because repetitive same PR Interval Manners Other QRS are Junctional Escape Beat

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Reposted by Willis Kwandou

Willy Frick @willyhfrick.bsky.social · 11/12/2024

Consult from ED for CHB. Hint: Patient was asymptomatic #ECGsky #cardiosky #medsky #EPeeps

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Willis Kwandou @williskwandou.bsky.social · 10/12/2024

2nd ECG, I think atrial lead is also not sensing at all, it seems capture But i suspecting the black arrow the atrial lead is pacing but failed to make a spike (Fail to Pace) Somehow A. Lead Alternating Capture and Failed to Pace Atrial Lead Problem (Fracture or Insulation Breach)? CMIIW 🙏

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Willis Kwandou @williskwandou.bsky.social · 10/12/2024

Amazing Tracing, May I give my opinion doctor? Please correct me if i'm wrong Below ECG, I Think This is Atrial Lead Undersensing and Does not Capture Blue Arrow => Intrinsic P Wave Green Arrow => P Wave That Conduct to Ventricle Red Arrow => VSP due to sensing intrinsic beat After AP

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Reposted by Willis Kwandou

Jeffrey M Vinocur @jeffreyvinocur.bsky.social · 10/12/2024

#EPeeps Two ECGs that looks similar from afar but contain key information on close inspection (the first is the new one, second is the prior)

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Willis Kwandou @williskwandou.bsky.social · 08/12/2024

I'm not the expert, but i like to push my brain figure out tracing like this I don't see any atrial pacing on 2nd follow up ECG, i suspect that was AF and modeswitch to DDI pacing. So i suspect the 1st ecg was AF undersensing, but i think we need to confirm presence of CHB to support my opinion

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Reposted by Willis Kwandou

Willy Frick @willyhfrick.bsky.social · 08/12/2024

I'm not good at diagnosing this one yet, but I think this is repetitive nonreentrant ventriculoatrial synchrony. Attached figure and citation. #EPeeps #ECGsky #cardiosky #medsky

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Willis Kwandou @williskwandou.bsky.social · 08/12/2024

Wow, nice tracing.. can we get more detailed about baseline patient? And Pacemaker Indication? Does the patient have previous AF history and Complete Heart Block or Undergoing AVN ablation?

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Willis Kwandou @williskwandou.bsky.social · 03/12/2024

Thanks for tagging, i think i'm agreed with you Ventricular Escape Rhythm with Variation CL At 1st Glance I was thinking if there was a grouped beat and consider VE rhythm with weckenbach exit block (Just Like Left Image),but it seems the CL is very variated within the group beat and previous ecg

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Willis Kwandou @williskwandou.bsky.social · 02/12/2024

The PR interval preceeding Junctional With Retrograde Beat Appear Larger than Junctional Beat with No Retrograde Conduction Maybe that is also the reason the retrograde conduction happened

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Willis Kwandou @williskwandou.bsky.social · 02/12/2024

Here is the example i found from EHRA EP book

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Willis Kwandou @williskwandou.bsky.social · 02/12/2024

Maybe the possibility of retrograde via ap is possible But i think the VA of retrograde P wave is very short, Does the VA interval < 70ms during escape beat like this also rule out retrograde conduction via AP? Like the one we use in SVT Just a question in my mind and i don't know the answer

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Willis Kwandou @williskwandou.bsky.social · 02/12/2024

I don't know if i am right or not. I think i ever listen or read a terminology about Unidirectional CHB with preserved VA conduction I wonder if this is Unidirectional Antegrade CHB with junctional Rhythm and occasional Retrograde Conduction? CMIIW

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Reposted by Willis Kwandou

Nicolas Merke @nmerke.bsky.social · 29/11/2024

How smoke looks like with echocaardiography #EchoSky #3DEcho

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Willis Kwandou @williskwandou.bsky.social · 29/11/2024

Thanks for The Comment, Actually The 1st ECG showing Lateral STEMI was a Lead LA/LL Reversal and The 2nd ECG with The Proper Lead Placement Uncommon Timing for Lead Inappropriate Placement but can misleading into wrong culprit artery CAG : Total Occlusion Prox RCA

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Willis Kwandou @williskwandou.bsky.social · 28/11/2024

Mitral valve perforation, is an uncommon complication following infective endocarditis. Perforations involving anterior mitral leaflet is most commonly reported in patients with infective endocarditis. #cardiosky #echosky #3decho

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Willis Kwandou @williskwandou.bsky.social · 28/11/2024

Single chamber pacemaker VVI appears the ventricular lead is not sensing at all neither capture, Lead Dislodgement?

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Willis Kwandou @williskwandou.bsky.social · 27/11/2024

Thanks for the comment i actually agreed there is clear AV dissociation, but the atrial rate seems faster maybe that was AT and AIVR.. Judging Atrial Rate is faster than the AIVR i think we should see some capture or fusion beat, perhaps maybe there is some AVN block here either functional or not

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Willis Kwandou @williskwandou.bsky.social · 27/11/2024

May i give an opinion? I think this is single chamber VVI pacemaker, with ventricular undersensing lead to overpace.. there is 1 episode of fusion beat of pace and native QRS

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Willis Kwandou @williskwandou.bsky.social · 27/11/2024

Found My Old Strip, 72 years old Male With Sudden Chest Pain, Left One Is the 1st ECG Upon Initial Presentation at ER, And The Right One Right Before Undergoing Primary PCI. What Is Happening Here? #cardiosky #ecgsky

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Willis Kwandou @williskwandou.bsky.social · 25/11/2024

29 Years old Female With Chest Pain, Kindly Opinion About The Rhythm #ecgsky #epeeps #cardiosky

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Lars Mølgaard Saxhaug @load-dependent.eurosky.social · 20/11/2024

Wow, how #cardiosky has grown! Our first starter pack is already full, see if you've missed anyone: go.bsky.app/562nfhZ

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Willis Kwandou @williskwandou.bsky.social · 24/11/2024

PVC and Pseudofusion in 3rd spike with PVC?

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Willis Kwandou @williskwandou.bsky.social · 24/11/2024

Pacemaker Weckenbach (Upper Rate Behaviour) due to tracking of AT below AMS cycle length cutoff Zone

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